Job summary Associate Director of Operations - Medicine Department: Medicine Band 8D £88,168 - £101,677 Per annum Hours: 37.5 per week, all MKUH roles will be considered for flexible working Are you wanting to challenge your operational and strategic skills? Do you have strong senior leadership and analytical skills? Most importantly, are you committed to improving patient care and services within a hospital setting? This is a rare opportunity for an established highly motivated and ambitious individual with the appropriate skills. As Associate Director of Operations, you will join the friendly, rapidly growing and dynamic Medicine division - the largest and most complex division in the Trust. Your role will involve being the face of the division and ensuring Trust strategies are delivered in a timely manner whilst maintaining Trust values. Ultimately, you will be influencing the Trust's future and provide a visible, effective and shared leadership: act within the Divisional Triumvirate and with colleagues, accepting accountability for the services provided to and for patients. For an informal conversation, please contact either Fay Gordan (fay.gordanmkuh.nhs.uk) - Chief Operating Officer or Nicola Bailey (nicola.baileymkuh.nhs.uk) - Executive Assistant. 'We care We communicate We collaborate We contribute' Interview: 17th of April 2025 Main duties of the job Together with other posts in the Divisional "Triumvirate": sets and delivers a multidisciplinary Divisional and CSU (Clinical Service Unit) strategy and vision that enables the delivery of the Trust objectives. Together they influence the Trust's future and provide a visible, effective and shared leadership: act within the Divisional Triumvirate and with their colleagues, accepting accountability for the services provided to and for patients. About us MKUH staff scored highest for 'I look forward to coming to work' (NHS Staff Survey 2023). You can expect a warm welcome at Milton Keynes University Hospital, our staff are friendly and welcoming. We listen to each other and work together to embed our Trusts values and behaviours. At MKUH we appreciate our staff and reward them with an outstanding benefits package including: Free on-site parking Free refreshments Great flexible workingopportunities Discounted gym membership Lease car scheme Generous annual leave and pension scheme On site nursery (chargeable) Extensive staff health and well-being programme Milton Keynes University Hospital NHS Foundation Trust, in partnership with the University of Buckingham, is a University Teaching Hospital; we conduct research and teaching on site to improve the care of our patients. The hospital is undergoing significant investment, and we are proud to be rated good by the CQC. Visit our website to catch up on our latest news. Date posted 20 March 2025 Pay scheme Agenda for change Band Band 8d Salary £88,168 to £101,677 a year Per annum Contract Permanent Working pattern Full-time Reference number 430-CORP4126A Job locations Medicine Business Manager (Dept) Milton Keynes MK6 5LD Job description Job responsibilities Creating A Vision 1.1 Together with other members of the Divisional Triumvirate set, deliver and clearly communicate to staff a multidisciplinary Divisional and CSU strategy and vision that enables delivery of the Trust strategy. Delivering the Trusts Strategy 2.1 Close monitoring and analysis of the monthly bank and agency data to inform Management Board on the progress of the bank and agency project to achieve its reduced expenditure. 2.2 Contributing to the implementation of the Trusts vision and strategy at Management Board level through the development of the Divisional strategies. Setting Direction 3.1 Contribute to the strategy and aspirations of the Trust and acts in a manner consistent with the values. Acting as a broker/bridge between health economy wide decisions and operational delivery. 3.2 Ensure that the Trusts values and supporting behaviours are embodied in the performance of the Triumvirate and all Divisional and CSU staff. Improving The Service 4.1 Develop Divisional and CSU policies and performance management, to ensure continuing improvement against quality, efficiency and financial benchmarking. 4.2 Actively seek and support opportunities for service and clinical pathway transformation and continuing improvement, using best practice and patient experience and focus wherever possible to inform service redesign and supporting an integrated approach to patient care across Divisional, CSU, speciality and organisational boundaries. Managing The Divisional Services and Co-ordinating CSUs Planning: 5.1 Provide critical analytical support and business knowledge in the contracting and business planning processes. 5.2 Ensure active clinical engagement with Commissioners, developing mutual understanding of the service and challenging the Commissioners, where appropriate, on what can and should be delivered. Managing Resources: 5.5 Ensure the most effective, productive and efficient use of all resources used within the Division and CSUs including; staff, equipment and consumables. 5.6 Manage the Divisional and CSU budgets, appropriately delegated. Managing People: 5.8 Performance manage CSU Operational Managers and Deputy ADO. 5.9 With the relevant departmental managers ensure that support services wrap around and aligned roles meet the needs of the CSUs, i.e., HR, Finance, Information, Quality and Governance. Managing Performance: 5.16 Ensure the performance of the Division and CSUs against all key measures of quality, efficiency, effectiveness and financial management. 5.17 Ensure the achievement of the Divisional and CSU Annual Planning Agreements (APAs). Working With Others: 5.21 Work within the Divisional Triumvirate in a truly multidisciplinary way, flexibly supporting colleagues and taking on the appropriate share of joint responsibilities and workload. 5.22 Constructively and respectfully challenging colleagues within the Triumvirate in the interests of excellent analysis, problem solving and planning. Demonstrating Personal Qualities: 5.27 Ensure their own professional and personal development, demonstrating self-awareness and willingness to continually learn and develop. 5.28 Act with integrity and treats others with respect at all times. Other Duties 6.1 Required to participate in the Trusts Manager on call rota. Please refer to Job Description for further details We believe success lies in the diversity of our employees and are committed to promoting equality, encouraging diversity and embracing inclusion. We welcome applications from everyone interested in working for us. MKUH is committed to equal opportunities and improving the working lives of our staff and as such we offer a range of flexible working practices. We reserve the right to expire vacancies prior to the advertised closing date once a sufficient number of applications have been received. MKUH uses identification scanning technology to confirm the authenticity of documents; all prospective employees of MKUH will have their original documents verified using this technology. By applying for this role, you accept if successful, that information from your application will be transferred into the national NHS Electronic Staff Record (ESR) system. Your personal data may be transferred from the Trust to another NHS organisation where your employment transfers within the NHS. This is in accordance with the streamlining programme which aims at saving you time and improving efficiencies within the NHS when your employment transfers. Upon commencing employment with the Trust, all employees (except Medical & Dental Staff on national terms and conditions) are subject to a probationary period lasting a period of six months with an option to extend for a further six months to a total of 12 months. Job description Job responsibilities Creating A Vision 1.1 Together with other members of the Divisional Triumvirate set, deliver and clearly communicate to staff a multidisciplinary Divisional and CSU strategy and vision that enables delivery of the Trust strategy. Delivering the Trusts Strategy 2.1 Close monitoring and analysis of the monthly bank and agency data to inform Management Board on the progress of the bank and agency project to achieve its reduced expenditure. 2.2 Contributing to the implementation of the Trusts vision and strategy at Management Board level through the development of the Divisional strategies. Setting Direction 3.1 Contribute to the strategy and aspirations of the Trust and acts in a manner consistent with the values. Acting as a broker/bridge between health economy wide decisions and operational delivery. 3.2 Ensure that the Trusts values and supporting behaviours are embodied in the performance of the Triumvirate and all Divisional and CSU staff. Improving The Service 4.1 Develop Divisional and CSU policies and performance management, to ensure continuing improvement against quality, efficiency and financial benchmarking. 4.2 Actively seek and support opportunities for service and clinical pathway transformation and continuing improvement, using best practice and patient experience and focus wherever possible to inform service redesign and supporting an integrated approach to patient care across Divisional, CSU, speciality and organisational boundaries. Managing The Divisional Services and Co-ordinating CSUs Planning: 5.1 Provide critical analytical support and business knowledge in the contracting and business planning processes. 5.2 Ensure active clinical engagement with Commissioners, developing mutual understanding of the service and challenging the Commissioners, where appropriate, on what can and should be delivered. Managing Resources: 5.5 Ensure the most effective, productive and efficient use of all resources used within the Division and CSUs including; staff, equipment and consumables. 5.6 Manage the Divisional and CSU budgets, appropriately delegated. Managing People: 5.8 Performance manage CSU Operational Managers and Deputy ADO. 5.9 With the relevant departmental managers ensure that support services wrap around and aligned roles meet the needs of the CSUs, i.e., HR, Finance, Information, Quality and Governance. Managing Performance: 5.16 Ensure the performance of the Division and CSUs against all key measures of quality, efficiency, effectiveness and financial management. 5.17 Ensure the achievement of the Divisional and CSU Annual Planning Agreements (APAs). Working With Others: 5.21 Work within the Divisional Triumvirate in a truly multidisciplinary way, flexibly supporting colleagues and taking on the appropriate share of joint responsibilities and workload. 5.22 Constructively and respectfully challenging colleagues within the Triumvirate in the interests of excellent analysis, problem solving and planning. Demonstrating Personal Qualities: 5.27 Ensure their own professional and personal development, demonstrating self-awareness and willingness to continually learn and develop. 5.28 Act with integrity and treats others with respect at all times. Other Duties 6.1 Required to participate in the Trusts Manager on call rota. Please refer to Job Description for further details We believe success lies in the diversity of our employees and are committed to promoting equality, encouraging diversity and embracing inclusion. We welcome applications from everyone interested in working for us. MKUH is committed to equal opportunities and improving the working lives of our staff and as such we offer a range of flexible working practices. We reserve the right to expire vacancies prior to the advertised closing date once a sufficient number of applications have been received. MKUH uses identification scanning technology to confirm the authenticity of documents; all prospective employees of MKUH will have their original documents verified using this technology. By applying for this role, you accept if successful, that information from your application will be transferred into the national NHS Electronic Staff Record (ESR) system. Your personal data may be transferred from the Trust to another NHS organisation where your employment transfers within the NHS. This is in accordance with the streamlining programme which aims at saving you time and improving efficiencies within the NHS when your employment transfers. Upon commencing employment with the Trust, all employees (except Medical & Dental Staff on national terms and conditions) are subject to a probationary period lasting a period of six months with an option to extend for a further six months to a total of 12 months. Person Specification Qualifications and knowledge Essential Relevant Masters/MBA qualification or equivalent professional qualification Demonstrate a successful track record of delivering effective healthcare services as a Senior Manager or Director in a large, multifaceted healthcare environment including staff management, financial management and change management Evidence of delivering successful strategic and operational performance management and clearly demonstrating improvement in the quality of service delivery at a strategic level; including business case preparation, service initiation, contract negotiation, development and monitoring of outcome and output measures Experience of managing large, multistranded budgets from a range of income sources and demonstrable examples of how you have responded to financial insecurities and fluctuations Demonstrable experience of advising the Board on strategic options regarding service delivery Service Delivery Essential Extensive in-depth demonstrable success in delivery change and performance with/and through management teams, by engaging them in the strategic direction and delivery plans, establishing clear work priorities with them, delegating effectively, ensuring a capability to deliver, monitoring performance and giving feedback A strong track of record of managing complexity and risk whilst maintaining high standards of service delivery A comprehensive understanding of the changing NHS environment and the challenges it faces Senior experience of developing demand forecasting and continuous business planning and programme/project management programmes resulting in positive value for money outcomes Ability to be intellectually flexible and to look beyond existing structures, ways of working, boundaries and organisations to produce more effective and innovative service delivery and partnerships A commitment to improving patient services through an ability to sustain a clear performance focus on achieving demanding goals Skills Essential Strong leadership, interpersonal skills and authority; to be able to successfully foster and manage inter - relationships between own unit and other Directorates Demonstrated competencies to analyse and synthesize complex and diverse budgets A proven track record of creating a common purpose and instilling organizational values and behaviours that promotes a Corporate vision Strong organizational ability and well developed resource and staff management skills; able to forecast, plan, develop and manage unit capability in line with business plan and organizational vision Proven ability to foster an organizational culture that is positive about change and committed to delivery of the strategic vision Proven ability to manage change effectively within an operational environment, building engagement and involvement, and rewarding innovation Strong analytical and problem solving skills A proven credible and influential communicator with excellent networking and negotiating skills Experience of working with a diverse range of stakeholders and a successful track record of influence and engagement Ability to collaborate constructively with internal and external partners to create the conditions for successful partnership working Personal and people development Essential Strong sense of commitment to openness, honesty and integrity in undertaking the role High level of work organization, self - motivation, drive for performance and improvement, and flexibility in approach and attitude Person Specification Qualifications and knowledge Essential Relevant Masters/MBA qualification or equivalent professional qualification Demonstrate a successful track record of delivering effective healthcare services as a Senior Manager or Director in a large, multifaceted healthcare environment including staff management, financial management and change management Evidence of delivering successful strategic and operational performance management and clearly demonstrating improvement in the quality of service delivery at a strategic level; including business case preparation, service initiation, contract negotiation, development and monitoring of outcome and output measures Experience of managing large, multistranded budgets from a range of income sources and demonstrable examples of how you have responded to financial insecurities and fluctuations Demonstrable experience of advising the Board on strategic options regarding service delivery Service Delivery Essential Extensive in-depth demonstrable success in delivery change and performance with/and through management teams, by engaging them in the strategic direction and delivery plans, establishing clear work priorities with them, delegating effectively, ensuring a capability to deliver, monitoring performance and giving feedback A strong track of record of managing complexity and risk whilst maintaining high standards of service delivery A comprehensive understanding of the changing NHS environment and the challenges it faces Senior experience of developing demand forecasting and continuous business planning and programme/project management programmes resulting in positive value for money outcomes Ability to be intellectually flexible and to look beyond existing structures, ways of working, boundaries and organisations to produce more effective and innovative service delivery and partnerships A commitment to improving patient services through an ability to sustain a clear performance focus on achieving demanding goals Skills Essential Strong leadership, interpersonal skills and authority; to be able to successfully foster and manage inter - relationships between own unit and other Directorates Demonstrated competencies to analyse and synthesize complex and diverse budgets A proven track record of creating a common purpose and instilling organizational values and behaviours that promotes a Corporate vision Strong organizational ability and well developed resource and staff management skills; able to forecast, plan, develop and manage unit capability in line with business plan and organizational vision Proven ability to foster an organizational culture that is positive about change and committed to delivery of the strategic vision Proven ability to manage change effectively within an operational environment, building engagement and involvement, and rewarding innovation Strong analytical and problem solving skills A proven credible and influential communicator with excellent networking and negotiating skills Experience of working with a diverse range of stakeholders and a successful track record of influence and engagement Ability to collaborate constructively with internal and external partners to create the conditions for successful partnership working Personal and people development Essential Strong sense of commitment to openness, honesty and integrity in undertaking the role High level of work organization, self - motivation, drive for performance and improvement, and flexibility in approach and attitude Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). Employer details Employer name Milton Keynes University Hospital NHS Foundation Trust Address Medicine Business Manager (Dept) Milton Keynes MK6 5LD Employer's website https://www.mkuh.nhs.uk/working-at-mkuh (Opens in a new tab)